| NPI | 1194883546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 044605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 044605) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-12-17 |